<div class="am-popup am-radius" id="popup-orderaftersale-delivery">
    <div class="am-popup-inner">
        <div class="am-popup-hd">
            <h4 class="am-popup-title">{{:MyLang('orderaftersale.form_delivery_title')}}</h4>
            <span data-am-modal-close class="am-close">&times;</span>
        </div>
        <div class="am-popup-bd">
            <div class="am-alert">
                <span>{{:MyLang('orderaftersale.form_delivery_address_name')}}：</span>
                <span class="am-text-warning">{{$return_goods_address}}</span>
            </div>
            <form class="am-form form-validation am-form-popup-fixed" action="{{:MyUrl('index/orderaftersale/delivery')}}" method="POST" request-type="ajax-reload">
                <div class="am-form-group">
                    <label>{{:MyLang('common_service.orderaftersale.form_item_express_name')}}<span class="am-form-group-label-tips-must">*</span></label>
                    <input type="text" name="express_name" class="am-radius" placeholder="{{:MyLang('common_service.orderaftersale.form_item_express_name')}}" minlength="1" maxlength="60" data-validation-message="{{:MyLang('common_service.orderaftersale.form_item_express_name_message')}}" required />
                </div>
                <div class="am-form-group">
                    <label>{{:MyLang('common_service.orderaftersale.form_item_express_number')}}<span class="am-form-group-label-tips-must">*</span></label>
                    <input type="text" name="express_number" class="am-radius" placeholder="{{:MyLang('common_service.orderaftersale.form_item_express_number')}}" minlength="1" maxlength="60" data-validation-message="{{:MyLang('common_service.orderaftersale.form_item_express_number_message')}}" required />
                </div>
                <div class="am-form-popup-submit">
                    <input type="hidden" name="id" value="{{$new_aftersale_data.id}}" />
                    <button type="submit" class="am-btn am-btn-primary am-radius btn-loading-example am-btn-sm am-btn-block" data-am-loading="{loadingText:'{{:MyLang('processing_tips')}}'}">{{:MyLang('submit_title')}}</button>
                </div>
            </form>
        </div>
    </div>
</div>